407 Cornatzer Road Lot 4Davie County, NC Tax Parcel Report Friday, November 18, 2016
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Parcel Information
Parcel Number.
16150A0004
Township:
Shady Grove
NCPIN Number:
5758720954
Municipality:
Account Number:
72876900
Census Tract:
37059-804
Listed Owner 1:
TEAGUE BEDFORD B
Voting Precinct:
WEST SHADY GROVE
Mailing Address 1:
407 CORNATZER ROAD
Planning Jurisdiction:
Davie County
City: MOCKSVILLE
Zoning Class: DAVIE COUNTY R-20
State:
NC
Zoning Overlay:
Zip Code:
27028-0000
Voluntary Ag. District:
No
Legal Description:
LOT 4 CORNATZER HEIGHTS
Fire Response District:
CORNATZER - DULIN
Assessed Acreage:
0.46
Elementary School Zone:
CORNATZER
Deed Date:
6/1998
Middle School Zone:
WILLIAM ELLIS
Deed Book 1 Page:
002030495
Soil Types:
GnB2
Plat Book:
0005
Flood Zone:
Plat Page:
157
Watershed Overlay:
DAVIE COUNTY
Building Value:
66310.00
Outbuilding 8r Extra
Freatures Value:
0.00
Land Value:
16000.00
Total Market Value:
82310.00
Total Assessed Value:
82310.00
All data Is provided as Is without warranty or guarantee of any Idnd either expressed or Implied Including but not limited to the
Davie County, Implied war anties of merchantability or r- for a particular use.Au users of Davie County's GIS website shall hold harmless the
County of Davie, North Carolina, its agents, consultants, contractors or employees from any and ail claims or causes of action due to
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NC or arising out of the use or Inability to use the GIS data provided by this website.
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DAVIE COUNTY HEALTH DEPARTMENT
IMPROVEMENTS PERMIT AND CERTIFICATE OF COMPLETION
*NOTE: Issued in Compliance with G.S. of North Carolina Chapter 130 Article 13c
Sewage Treatment and Disposal Rules (10 NCAC 10A .1934-.1968) Permit Number
Name - Date
v L
Location - _ -
- !Tv
Subdivision Name - Lot No. 4Sec. or Block No.
Lot Size
House
No. Bedrooms
_ No.
Baths l�
Garbage Disposal
YES
❑ NO 0 -
Auto Dish Washer
YES
❑ NO ❑
Auto Wash Machine
YES
❑- NO -❑
Type Water Supply
Mobile Home _ Business -- Speculation=`
No. in Family
Specifications for System:
*This permit Void if sewage system described below is not installed within 36 months from date of issue.
Improvements permit by `
*Contact a representative of the Davie County Health Department for final inspection of this system between 8:30-
9:30 A.M. or 1:00-1:30 P.M. on day of completion. Telephone Number: 704-634-5985.
Final Installation Diagram:
jaell gA L j
System Installed by���
Certificate of Completion ? iy Date
*The signing of this certificate shall indicate that the system described above has been installed in compliance with
the standards set forth in the above regulation, but shall in NO way be taken as a guarantee that the system will function
satisfactorily for any given period of time.
APPLICATION FOR SITE EVALUATION/ IMPROVEMENTS PERMIT
Davie County Health Department
Environmental Health Section
P. O. Box 665
Mocksville, N.C. 27028
CONSTRUCTION SHALL NOT BEGIN UNTIL IMPROVEMENTS PERMIT HAS BEEN ISSUED.
Home Phone Qa r- ug s"r
1. Permit Requested By _btr.•.ss P6 tis Business Phone
2. Address `�- o. 34 1?- AAvcyy *� n e., 7z2 u aG
3. Property Owner if Different than Above
Address
4. Permit To: a) Install` Alter Repair
b) Privy Conventional Other Type
Ground Absorption
c) Sub -Division Cann -Ay- Aesdl Sec. Lot No.
5. System used to serve what type facility: House --- Mobile Home Business
IndustryOther
b) Number of people S 9.1ft -
6. a) If house or mobile home, state size of home and number of rooms.
House Dimensions
Bed Rooms 3 Bath Rooms `1Iz- Den w/Closet
b) If Business, Industry or Other, State: Number of persons served '—
What type business, etc.
Estimate amount of waste daily (24 hours)
7. Number and type of water -using fixtures:
commodes urinals garbage disposal N 0
lavatory showers washing machine
dishwasher sinks
8. a) Type water supply: Public -r Private Community
b) Has the water supply system been approved? Yes•�No
9. a) Property Dimensions \ ZAJ�' X 2-2-
b)
_Zb) Land area designated to building site
c) Sewage Disposal Contractor
10. Do you anticipate any additions or expansions of the facility this sewage system is intended to serve?
What type?
This is to certify that the information is correct to the best of my knowledge.
_ e V(. 1 �)Q
, lqt:�
Date Owner Signature
OWNER IS SOLELY RESPONSIBLE FOR COMPLIANCE WITH ALL STATE AND LOCAL LAWS
Allow 5 days for processing
Directions to property:
_zy low -
w
DCHD (6-82)
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